Individual
DR. J. ALAN TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
105 N WHITLEY DR, FRUITLAND, ID 83619-2430
(208) 452-6280
(208) 452-4029
Mailing address
105 N WHITLEY DR, P.O. BOX 986, FRUITLAND, ID 83619-2430
(208) 452-6280
(208) 452-4029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2080
ID
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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